Robert a Koch D.C.P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004639 Issued in MI

Legal business name

ROBERT A KOCH D.C.P.C.

Practice address

14720 Fort St
Southgate, MI 48195-1217

Phone

(734) 281-2400

Fax

(734) 281-1795

NPI assigned

Jul 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina Elizabeth Snyder

Title

Office Manager

Phone

(734) 281-2400

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Anthony Koch, D.C.P.C.

  • Chiropractor
  • Southgate, MI
  • NPI 1710078985
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1649460346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951217",
            "telephone_number": "734-281-2400",
            "fax_number": "734-281-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14720 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951217",
            "telephone_number": "734-281-2400",
            "fax_number": "734-281-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A KOCH D.C.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-28",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-281-2400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T33835",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350025410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "C7938",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4504093",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Rinna
• Mary Rish, RN BSN
• Hayley E Rivera
• Natasha Nicole Rivera
• Jenna Lee Rivers, MSW, LLMSW
• Robert a Schweyen DDS PLLC
• Roberts Chiropractic Life Center
• Roberts Chiropractic Life Center, PLLC
• Frances Roberts
• Matthew George Robertson

• Chiropractor in Southgate, MI
• Providers in Southgate, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.